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Anaesthesia · Critical care, resuscitation, and emergency principles: curriculum recognition
Sample itemAn intubated, deeply sedated ICU patient cannot report pain. Which tool is suited to assess analgesia?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Critical-Care Pain Observation Tool
In patients unable to self-report, validated behavioural tools such as the Critical-Care Pain Observation Tool, which scores facial expression, body movement, muscle tension and ventilator compliance, are recommended. Self-report scales need a communicating patient.
Option by option
A. Wong-Baker faces scale
The faces scale needs the patient to choose a face.
B. Visual analogue scale
The visual analogue scale needs the patient to point to a level of pain.
C. Numeric rating scale
The numeric rating scale needs the patient to state a score.
D. Critical-Care Pain Observation Tool (correct)
Correct. It scores observed behaviour and so works without self-report.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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